Organization
AVALON MEMORY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN SEIB (MANAGER)
(214) 752-7050
Entity
Organization
Contact information
Practice address
5342 BUTLER HILL RD, SAINT LOUIS, MO 63128-4152
(314) 849-2960
Mailing address
1625 N STEMMONS FWY, DALLAS, TX 75207-3411
(214) 752-7050
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
045258
MO
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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